JUSTIN PRESCOTT CHAN (NPI# 1316576861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316576861 |
| Entity Type | Individual |
| Full Name | JUSTIN PRESCOTT CHAN |
| Credential | MD |
| Practice Address |
101 The City Drive S Pav. 3, 2nd Floor Orange CA 92868 |
| Practice Telephone | 7144567513 |
| Practice Fax Number | 7144568971 |
| Mailing Telephone | 7144567513 |
| Mailing Fax Number | 7144568971 |
| Enumeration Date | 2020-04-06 |
| Last Update Date | 2020-04-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235635624 | Justin Michael Chan | Pharmacist | 11440 Windemere Parkway, San Ramon, CA 94582 | 2018-04-04 |
| 1144508292 | Justin Nile Chan | Dentist | 6675 S Custer Rd Ste 200, Mckinney, TX 75070-1838 | 2011-07-22 |
| 1003818501 | Justin Le Chan | Family Medicine | 925 S Garfield Ave, Alhambra, CA 91801-4442 | 2005-08-15 |
| 1982220497 | Justin Chan | Dentist | 47059 Van Dyke Ave, Shelby Township, MI 48317-3357 | 2020-06-20 |
| 1750850541 | Justin Kalok Chan | Physical Medicine & Rehabilitation | 1887 Monterey Hwy Ste 200, San Jose, CA 95112-6192 | 2018-11-21 |
| 1215442082 | Justin Chan | Physical Therapist | 33 Richmond Hill Rd, Staten Island, NY 10314-5950 | 2017-12-02 |
| 1043740251 | Justin Chan | Behavioral Analyst | 1063 Mcgaw Ave Ste 100, Irvine, CA 92614-5554 | 2017-06-20 |
| 1619310208 | Justin Hwa Chan | Orthopaedic Surgery | 332 Santa Fe Dr Ste 110, Encinitas, CA 92024-5143 | 2013-04-12 |
| 1750601126 | Justin J Chan | Internal Medicine | Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114 | 2010-06-08 |
| 1962600650 | Justin Chan | Family Medicine | 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 | 2007-07-05 |
| Street Address |
101 THE CITY DRIVE S PAV. 3, 2ND FLOOR |
| City | ORANGE |
| State | CA |
| Zip Code | 92868 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104895580 | Anand K Ganesan | Dermatology | 101 The City Drive S, Uci Medical Center, Orange, CA 92868-3201 | 2006-03-16 |
| 1730716010 | Shannon Allison Sullivan | Student in an Organized Health Care Education/Training Program | 101 The City Drive S, City Tower, Ste 400, Orange, CA 92868 | 2020-03-25 |
| 1942836812 | Kyle Christian Dornhofer | Student in an Organized Health Care Education/Training Program | 101 The City Drive S, Rte. 128-01, Orange, CA 92868 | 2020-03-22 |
| 1255837837 | Nicholas Bove | Student in an Organized Health Care Education/Training Program | 101 The City Drive S, Rte. 128-01, Orange, CA 92868 | 2018-04-03 |
| 1942732409 | Victor Manuel Cisneros | Emergency Medicine | 101 The City Drive S, Rte. 128-01, Orange, CA 92868 | 2017-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346859386 | Sadaf Abrishami | Pharmacist | 101 The City Dr S., Orange, CA 92868 | 2020-07-27 |
| 1245869825 | Helena Yijia Hong | Student in an Organized Health Care Education/Training Program | Uci Medical Center, 101 The City Drive, Orange, CA 92868 | 2020-04-06 |
| 1932736527 | Joshua Kristopher Livingston | Student in an Organized Health Care Education/Training Program | 101 The City Dr S, Rte. 128-01, Orange, CA 92868 | 2020-03-24 |
| 1831725894 | Michelle Brown | Student in an Organized Health Care Education/Training Program | 101 The City Dr S. Rte 128-01, Orange, CA 92868 | 2020-03-20 |
| 1093363491 | Kristin Lee | Pharmacist | 132 S. Anita Dr., Orange, CA 92868 | 2019-08-28 |
| 1740834217 | Matthew Brian Mecheal | Dentist | 725 W. La Veta Suite 260, Orange, CA 92868 | 2019-08-01 |
| 1245897990 | Brent Tyler Louie | Student in an Organized Health Care Education/Training Program | 101 The City Drive South Building 3, Route 88, Neuropsychiatric Center Uc Irvine Medical Center, Orange, CA 92868 | 2019-05-28 |
| 1093277972 | Danielle Amato | Student in an Organized Health Care Education/Training Program | Uc Irvine Health 101 The City Drive, City Tower, Ste 40, Orange, CA 92868 | 2019-04-01 |
| 1851852206 | Julia Ting Bu | Student in an Organized Health Care Education/Training Program | Uc Irvine Health, 101 The City Drive, City Tower, Ste 400, Orange, CA 92868 | 2019-03-28 |
| 1326507344 | Harrison Beene Lowder | Student in an Organized Health Care Education/Training Program | 505 S. Main St, Suite 525, Orange, CA 92868 | 2019-03-19 |
| Find all providers in zip 92868 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972122109 | Benjamin Felt Bitner | Student in an Organized Health Care Education/Training Program | 101 The City Dr S # Zot5386, Orange, CA 92868-3201 | 2020-04-08 |
| 1245869825 | Helena Yijia Hong | Student in an Organized Health Care Education/Training Program | Uci Medical Center, 101 The City Drive, Orange, CA 92868 | 2020-04-06 |
| 1932736527 | Joshua Kristopher Livingston | Student in an Organized Health Care Education/Training Program | 101 The City Dr S, Rte. 128-01, Orange, CA 92868 | 2020-03-24 |
| 1508492547 | Megan Rose Defuria | Student in an Organized Health Care Education/Training Program | 505 S Main St Ste 524, Orange, CA 92868-4509 | 2020-03-22 |
| 1831725894 | Michelle Brown | Student in an Organized Health Care Education/Training Program | 101 The City Dr S. Rte 128-01, Orange, CA 92868 | 2020-03-20 |
| 1023661899 | Brittanee Lorynda Carranza | Student in an Organized Health Care Education/Training Program | 301 The City Dr S # 44, Orange, CA 92868-3205 | 2019-07-22 |
| 1245897990 | Brent Tyler Louie | Student in an Organized Health Care Education/Training Program | 101 The City Drive South Building 3, Route 88, Neuropsychiatric Center Uc Irvine Medical Center, Orange, CA 92868 | 2019-05-28 |
| 1760047930 | Nina Christine Del Mundo | Student in an Organized Health Care Education/Training Program | 5817 E West View Dr, Orange, CA 92869-4315 | 2019-05-03 |
| 1720541048 | Elaine Christine Martin | Student in an Organized Health Care Education/Training Program | 101 The City Dr S # 2, Orange, CA 92868-3201 | 2019-04-12 |
| 1093277972 | Danielle Amato | Student in an Organized Health Care Education/Training Program | Uc Irvine Health 101 The City Drive, City Tower, Ste 40, Orange, CA 92868 | 2019-04-01 |
| Find all providers in ORANGE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.